- ICH GCP
- Yhdysvaltain kliinisten tutkimusten rekisteri
- Kliininen tutkimus NCT00528424
AA4500 (XIAFLEX™, Proposed Name) in the Treatment of Advanced Dupuytren's Disease
A Phase 3, Open-Label Extension Study of the Safety and Efficacy of AA4500 in the Treatment of Subjects With Advanced Dupuytren's Disease
Study AUX-CC-858 was an open-label continuation of the double-blind Study AUX-CC-857 (NCT00528606). Subjects who complete the Day 90 visit after their initial injection in Study AUX-CC-857 (NCT00528606) entered into Study AUX-CC-858. Subjects who required further treatment in Study AUX-CC-858, either because their treated metacarpophalangeal and/or proximal interphalangeal (PIP) joints did not have a reduction in contracture to 5° or less, the cord affecting that joint received less than three injections of AA4500, or they had other eligible cords that received no treatment in AUX-CC-857 (NCT00528606), had the option to receive up to five injections of AA4500 in this extension study. Subjects requiring further treatment were followed for efficacy and safety on Days 1, 7, and 30 after each injection, with injections separated by four weeks. Follow-up visits for the determination of efficacy and safety were conducted on Day 90, Month 6, and Month 9.
This study was designed to be part of the larger clinical program, for adult patients with Dupuytren's contracture with a palpable cord, where the data from 2 pivotal Placebo-Controlled studies (AUX-CC-857 (NCT00528606) and AUX-CC-859 (NCT00533273)) and 7 non-pivotal studies were evaluated.
Tutkimuksen yleiskatsaus
Opintotyyppi
Ilmoittautuminen (Todellinen)
Vaihe
- Vaihe 3
Yhteystiedot ja paikat
Opiskelupaikat
-
-
California
-
Los Angeles, California, Yhdysvallat, 90095
- 100 UCLA Medical Plaza, Suite 305
-
Palo Alto, California, Yhdysvallat, 94304
- Hand Surgery Clinic
-
-
Colorado
-
Denver, Colorado, Yhdysvallat, 80210
- Hand Surgery Associates, PC
-
-
Georgia
-
Atlanta, Georgia, Yhdysvallat, 30342
- The Hand and Upper Extremity Center of Georgia, P.C.
-
-
Illinois
-
Rockford, Illinois, Yhdysvallat, 61107
- Rockford Orthopedic Associates, Ltd.
-
-
Indiana
-
Indianapolis, Indiana, Yhdysvallat, 46260
- The Indiana Hand Center
-
-
Massachusetts
-
Boston, Massachusetts, Yhdysvallat, 02115
- Brigham and Women's Hospital, Department of Orthopedic Surgery
-
Newton, Massachusetts, Yhdysvallat, 02462
- Newton-Wellesley Hospital
-
-
Minnesota
-
Minneapolis, Minnesota, Yhdysvallat, 55431
- TRIA Orthopaedic Center
-
-
New York
-
New York, New York, Yhdysvallat, 10021
- Hospital For Special Surgery
-
Stony Brook, New York, Yhdysvallat, 11794
- SUNY Stony Brook - Department of Orthopedics
-
-
Oklahoma
-
Oklahoma City, Oklahoma, Yhdysvallat, 73109
- Health Research Institute
-
-
Pennsylvania
-
Erie, Pennsylvania, Yhdysvallat, 16550
- Hand Microsurgery & Reconstructive Orthopaedics
-
State College, Pennsylvania, Yhdysvallat, 16801
- University Orthopedics Center
-
-
Rhode Island
-
Providence, Rhode Island, Yhdysvallat, 02905
- Department of Orthopaedics, Brown University, Rhode Island Hospital
-
-
Osallistumiskriteerit
Kelpoisuusvaatimukset
Opintokelpoiset iät
Hyväksyy terveitä vapaaehtoisia
Sukupuolet, jotka voivat opiskella
Kuvaus
Inclusion Criteria:
- Subjects with a diagnosis of advanced Dupuytren's disease, with a fixed flexion deformity of at least one finger, other than the thumb, that had a contracture at least 20°, but not greater than 100° for MP (80° for PIP) joints, caused by a palpable cord.
- Had a positive "table top test," defined as the inability to simultaneously place the affected finger(s) and palm flat against a table top.
- Were naïve to AA4500 treatment or had received only one or two injections of AA4500 for the treatment of advanced Dupuytren's disease in AUX-CC-857 ((NCT00528606).
- Were judged to be in good health.
- Must have participated in protocol AUX-CC-857 (NCT00528606).
Exclusion Criteria:
- Had a chronic muscular, neurological, or neuromuscular disorder that affected the hands.
- Had received treatment for advanced Dupuytren's disease within 90 days of enrollment on the joint selected for the initial injection of AA4500, including surgery (fasciectomy or surgical fasciotomy), needle aponeurotomy/fasciotomy, or injection of verapamil and/or interferon.
- Had a known recent history of stroke, bleeding, a disease process that affected the hands, or other medical condition, which in the investigator's opinion, would make the subject unsuitable for enrollment in the study.
Opintosuunnitelma
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
- Ensisijainen käyttötarkoitus: Hoito
- Jako: Ei käytössä
- Inventiomalli: Yksittäinen ryhmätehtävä
- Naamiointi: Ei mitään (avoin tarra)
Aseet ja interventiot
Osallistujaryhmä / Arm |
Interventio / Hoito |
|---|---|
|
Kokeellinen: AA4500 0,58 mg
|
Subjects may have received up to five injections of AA4500 0.58 mg into the cords of the affected hand, with each injection separated by at least 30 days.
Individual cords may have received up to a maximum of three AA4500 injections.
Muut nimet:
|
Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
|
Reduction in Contracture to 5° or Less
Aikaikkuna: Within 30 days after last injection
|
Successfully treated or clinical success in non-primary joints defined as reduction in contracture to within 0-5° of normal within 30 days of injection.
|
Within 30 days after last injection
|
Toissijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
|
Clinical Improvement After the Last Injection
Aikaikkuna: Baseline, within 30 days after last injection
|
Clinical improvement in non-primary joints defined as ≥50% reduction from baseline in the degree of contracture within 30 days after injection
|
Baseline, within 30 days after last injection
|
|
Percent Reduction From Baseline Contracture After the Last Injection
Aikaikkuna: Baseline, Day 30 after last injection
|
Percent change in degree of contracture in non-primary joints measured as 100 * (baseline contracture - last available post-injection contracture)/baseline contracture.
|
Baseline, Day 30 after last injection
|
|
Change From Baseline Range of Motion After the Last Injection
Aikaikkuna: Baseline, Day 30 after last injection
|
Change in degree of range of motion in non-primary joints measured as last available post-injection range of motion - baseline range of motion
|
Baseline, Day 30 after last injection
|
|
Time to Reach Clinical Success
Aikaikkuna: Within 30 days after last injection
|
Clinical success in non-primary joints defined as reduction in contracture to within 0-5° of normal within 30 days of injection, displayed in post injection time point categories
|
Within 30 days after last injection
|
|
Clinical Success After the First Injection
Aikaikkuna: Within 30 days after first injection
|
Clinical success in non-primary joints defined as reduction in contracture to within 0-5° of normal within 30 days of injection.
|
Within 30 days after first injection
|
|
Clinical Improvement After the First Injection
Aikaikkuna: Baseline, within 30 days after first injection
|
Clinical improvement in non-primary joints defined as ≥50% reduction from baseline in the degree of contracture within 30 days after injection
|
Baseline, within 30 days after first injection
|
|
Percent Reduction From Baseline Contracture After the First Injection
Aikaikkuna: Baseline, Day 30 after first injection
|
Percent change in degree of contracture in non-primary joints measured as 100 * (baseline contracture - last available post-injection contracture)/baseline contracture.
|
Baseline, Day 30 after first injection
|
|
Change From Baseline Range of Motion After the First Injection
Aikaikkuna: Baseline, Day 30 after first injection
|
Change in degree of range of motion in non-primary joints measured as last available post-injection range of motion - baseline range of motion
|
Baseline, Day 30 after first injection
|
Yhteistyökumppanit ja tutkijat
Sponsori
Tutkijat
- Opintojohtaja: Veronica Urdaneta, MD, Endo Pharmaceuticals
Julkaisuja ja hyödyllisiä linkkejä
Hyödyllisiä linkkejä
Opintojen ennätyspäivät
Opi tärkeimmät päivämäärät
Opiskelun aloitus (Todellinen)
Ensisijainen valmistuminen (Todellinen)
Opintojen valmistuminen (Todellinen)
Opintoihin ilmoittautumispäivät
Ensimmäinen lähetetty
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Ensimmäinen Lähetetty (Arvio)
Tutkimustietojen päivitykset
Viimeisin päivitys julkaistu (Todellinen)
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Viimeksi vahvistettu
Lisää tietoa
Tähän tutkimukseen liittyvät termit
Muita asiaankuuluvia MeSH-ehtoja
Muut tutkimustunnusnumerot
- AUX-CC-858
Nämä tiedot haettiin suoraan verkkosivustolta clinicaltrials.gov ilman muutoksia. Jos sinulla on pyyntöjä muuttaa, poistaa tai päivittää tutkimustietojasi, ota yhteyttä register@clinicaltrials.gov. Heti kun muutos on otettu käyttöön osoitteessa clinicaltrials.gov, se päivitetään automaattisesti myös verkkosivustollemme .
Kliiniset tutkimukset Pitkälle edennyt Dupuytrenin tauti
-
Gaziantep Islam Science and Technology UniversityEi vielä rekrytointia
-
Millennium Pharmaceuticals, Inc.Valmis
-
West China HospitalRekrytointiPMMR/MSS Advanced ColorektaalisyöpäKiina
-
Yale UniversityNational Institute of Nursing Research (NINR)Valmis
-
Novartis PharmaceuticalsValmiscMET Dysegulation Advanced Solid TumorsItävalta, Tanska, Ruotsi, Yhdistynyt kuningaskunta, Espanja, Saksa, Alankomaat, Yhdysvallat
-
Novartis PharmaceuticalsValmiscMET-dysregulated Advanced Solid TumorsYhdysvallat, Espanja, Italia, Bulgaria, Yhdistynyt kuningaskunta, Ranska, Tanska
-
Shanghai Qilu Pharmaceutical Research and Development...Ei vielä rekrytointia
-
Suzhou Zelgen Biopharmaceuticals Co.,LtdRekrytointiKRAS G12C Mutant Advanced Solid TumorsKiina
-
AmgenAktiivinen, ei rekrytointiKRAS p.G12C Mutant Advanced Solid TumorsYhdysvallat, Ranska, Kanada, Espanja, Belgia, Itävalta, Australia, Unkari, Kreikka, Japani, Brasilia, Saksa, Sveitsi, Portugali, Romania, Etelä -Korea
Kliiniset tutkimukset AA4500
-
Endo PharmaceuticalsValmisPeyronien tautiYhdysvallat
-
Endo PharmaceuticalsValmisPeyronien tautiYhdysvallat, Tanska, Ranska, Saksa, Italia, Uusi Seelanti, Espanja, Ruotsi, Yhdistynyt kuningaskunta
-
Endo PharmaceuticalsValmis
-
Endo PharmaceuticalsValmis
-
Endo PharmaceuticalsValmisA Pharmacokinetic Study of AA4500 (XIAFLEX™, Proposed Name) in Subjects With Dupuytren's ContractureDupuytrenin sopimusYhdysvallat
-
Endo PharmaceuticalsValmisPeyronien tautiYhdysvallat
-
Endo PharmaceuticalsValmis
-
Endo PharmaceuticalsValmisPitkälle edennyt Dupuytrenin tautiAustralia
-
Endo PharmaceuticalsValmisPitkälle edennyt Dupuytrenin tautiYhdysvallat